University of Technology Sydney

92365 Midwifery Practice 4: Complex Labour, Birth and the Puerperium

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2024 is available in the Archives.

UTS: Health
Credit points: 6 cp

Subject level:

Undergraduate

Result type: Grade and marks

Requisite(s): 92359 Women with Complex Pregnancies AND 92361 Midwifery Practice 3: Complex Pregnancy
These requisites may not apply to students in certain courses.
There are course requisites for this subject. See access conditions.

Description

Students in this subject work in simulated learning environments to learn and develop the requisite midwifery practice skills. Students engage in midwifery practice and this subject provides opportunity for them to reflect on their practice. In the midwifery practice setting, students work with midwives and implement care based on clinical decisions developed in collaboration with others. Students are expected to continue with their continuity of midwifery care experiences. The skills acquired in this subject relate to, and are supported by, the concurrent theoretical subject Complex Labour, Birth and Puerperium.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Assess, plan, implement and evaluate practice skills in complex labour, birth and postnatal period (NMBA 3.5, 4.2, 4.3 )
B. Assess, plan, implement and evaluate care for women experiencing and immediate recovery from a surgical procedure (NMBA 3.6, 4.2, 4.3, 6.2)
C. Demonstrate the ability to undertake midwifery skills in relation to postoperative care and wound healing (NMBA 1.2, 4.2, 4.3, )
D. Effectively document the recognition and management in complex situations (NMBA 3.2, 3.5, 3.7 )
E. Apply theoretical underpinnings to the skills developed in this subject (NMBA 1.2, 3.3)
F. Demonstrate appropriate competency in midwifery practice (NMBA 3.1, 3.2, 3.8)
G. Reflect on clinical experiences and provide rationale for care provision (NMBA 3.4, 5.1, 7.3)
H. Demonstrate appropriate proficiency in drug calculations (NMBA 3.1, 3.2)
I. Assess, plan, implement and evaluate practice skills in complex labour, birth and postnatal period (NMBA 3.2, 4.1, 4.2, 4.3, 4.4)
J. Continue with midwifery continuity of care experiences (NMBA 1.7, 2.1, 2.2, 4.2)

Course intended learning outcomes (CILOs)

This subject also contributes specifically to the following graduate attributes:

  • Practice woman-centred care (1.0)
  • Are professionally competent midwives who provide safe and effective midwifery care using intelligent kindness (2.0)
  • Work collaboratively in order to provide excellence in maternity care (3.0)
  • Are professionally engaged critical thinkers who take a lively and questioning approach and embrace lifelong learning (6.0)

Teaching and learning strategies

In this subject, you will participate in a range of teaching and learning strategies that are designed to assist you to develop understanding and awareness of the issues related to the health and wellbeing women experiencing a complexity during labour, birth or the puerperium. Exploration and engagement with contemporary, evidence-based care and practice will assist in building your professional skills and developing competency and respectful care for women during labour, birth, and the puerperium.

Online learning activities
Students access online learning resources either prior to or in place of face-to-face attendance. Online resources enable students to clarify complex concepts and terminology and engage with sensitive or confronting topics at their own pace. Online activities are then discussed in class to share learning, experiences and reflections.

Tutorials
Face-to-face tutorials are provided to enable students to learn, clarify, discuss and develop subject concepts. These classes are supported by follow-up in clinical laboratory sessions.

Clinical skills, communication, and simulation
Students will participate in the simulated practice of clinical skills used in midwifery practice, including supporting women in labour, birth, and the puerperium. These sessions will be conducted at UTS in the midwifery clinical laboratory. Students will also develop their competency in the safe administration of medications and drug calculations through simulation. Students learn and practice clinical and interpersonal skills with case scenarios in the classroom. These practice scenarios incorporate the development of professional communication skills including consultation and referral to the multidisciplinary team.

Case studies and stories from practice
Case studies and stories from practice depict people and their families in authentic clinical scenarios. Students use these scenarios to learn concepts, interpret information and develop creative solutions. Critical thinking is developed through analysis, interpretation of and reflection on issues or situations.

Professional ePortfolio
Students further develop their professional ePortfolio. This online record encourages students to take an active role in the documentation, observation and review of their own progress. It is a powerful tool for focusing awareness or attention on what has been learned throughout the course, self-assessment and the development of a professional identity.

Clinical placement
Students complete 160 hours of clinical placement experience in a maternity unit, including operating theatres, to develop and consolidate their knowledge, skills and attributes relevant to the care of women and babies. Students provide midwifery care to women, babies, and their families, under the direct supervision of registered midwives and medical practitioners. Students must successfully complete the required period of clinical practice as part of this subject and submit their professional experience portfolio for assessment at the end of the semester.

Assessment

Assessment task 1: Medication administration assessment

Intent:

The intent of this assessment is to develop students competence regarding the safe administration of medications to women and babies in their care.

Objective(s):

This assessment task addresses subject learning objective(s):

H

This assessment task contributes to the development of graduate attribute(s):

2.0

Type: Quiz/test
Weight: Mandatory task that does not contribute to subject mark

Assessment task 2: Reflection on Continuity of Midwifery Care Experiences (CoMCE)

Intent:

This assessment is intended to further develop students' reflective skills and their learning related to their CoMCE.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D, E, F and H

This assessment task contributes to the development of graduate attribute(s):

1.0 and 2.0

Type: Essay
Weight: 50%
Length:

1500 words

Criteria:

Assessment criteria and marking rubric will be available via Canvas.

Assessment task 3: Midwifery clinical placement documentation

Intent:

The intention of this assessment is to assess students’ clinical learning and development in accordance with the Nursing and Midwifery Board of Australia's Midwifery standards for practice (NMBA, 2018)

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D, E, F and H

This assessment task contributes to the development of graduate attribute(s):

1.0 and 2.0

Type: Portfolio
Weight: Mandatory task that does not contribute to subject mark

Assessment task 4: Case study based examination

Intent:

To assess students' knowledge in the safe management of women with complex labour, birth or postnatal needs.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D, E, F, G, H, I and J

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 3.0 and 6.0

Weight: 50%
Length:

2 hours

Required texts

Marshall, J. & Raynor, M. (Eds). (2014). Myles’ Textbook for Midwives, 16th edn. Elsevier Health Sciences.

Pairman, S. Tracy, S., Dahlen, H., & Dixon, L. (Eds.). (2019). Midwifery: Preparation for practice, 4th edn. Elsevier.

Recommended texts

Catling, C., Cummins, A. & Hogan, R. (2016). Stories in Midwifery: Reflection, Action, Enquiry. Elsevier.

Chapman, V. & Charles, C. (Eds.). (2013). The midwife’s labour & birth handbook, 3rd edn. Wiley-Blackwell.

Johnson, R. & Taylor, W. (2019). Skills for midwifery practice, 4th edn. Elsevier.

Marieb, E. & Hoehn, K. (2015). Human anatomy & physiology, 10th edn. Pearson.

Stables, D. & Rankin, J. (2017). Physiology in childbearing: with anatomy and related biosciences, 4th edn. Elsevier.

References

Foley, M.R., Strong, T.H. & Garite, T.J. (Eds). (2014). Obstetric intensive care manual, 4th edn. McGraw-Hill Medical.

Fraser, D. & Cooper, M.A. (2012). Survival guide to midwifery, 2nd edn. Churchill Livingstone.

Norwitz, E.R. (2010). Obstetric clinical algorithms: management and evidence, Wiley-Blackwell.

Simkin, P., Ancheta, R. & Myers, S. (2011). The labor progress handbook: early interventions to prevent and treat dystocia, 3rd edn. Blackwell.

Walsh, D. & Downe, S. (2010). Essential midwifery practice: Intrapartum care, Wiley-Blackwell.

Other resources

UTS Student Centre
Building 10

Monday to Friday: 9am - 5pm
Tel: 1300 ASK UTS (1300 275 887)

Details for student centres: www.uts.edu.au/current-students/contacts/general-contacts

For other resources/ information refer to the Faculty of Health website (www.uts.edu.au/about/faculty-health) and Canvas at: https://canvas.uts.edu.au/.

UTS Library
The Library has a wide range of resources, facilities and services to support you including textbooks, subject readings, health literature databases, workshops and bookable study rooms. There is also a team of librarians to help you with your questions available via online chat, phone and in person. W: lib.uts.edu.au, Facebook: utslibrary, Twitter: @utslibrary Tel: (02) 9514 3666.

Improve your academic and English language skills
Marks for all assessment tasks such as assignments and examinations are given not only for what you write but also for how you write. If you would like the opportunity to improve your academic and English language skills, make an appointment with the HELPS (Higher Education Language & Presentation Support) Service in Student Services.

HELPS (Higher Education Language & Presentation Support)
HELPS provides assistance with English language proficiency and academic language. Students who need to develop their written and/or spoken English should make use of the free services offered by HELPS, including academic language workshops, vacation intensive courses, drop-in consultations, individual appointments and Conversations@UTS (www.ssu.uts.edu.au/helps). HELPS staff are also available for drop-in consultations at the UTS Library. Phone (02) 9514 9733.

Please see www.uts.edu.au for additional information on other resources provided to students by UTS.

The Accessibility and Financial Assistance Service
The Accessibility Service can support students with disabilities, medical or mental health conditions, including temporary injuries (e.g., broken limbs). The Accessibility Service works with Academic Liaison Officers in each Faculty to provide ‘reasonable adjustments’ such as exam provisions, assistive technology, requests and strategies for managing your studies alongside your health condition. If you’re unsure whether you need assistance, we recommend getting in touch early and we can provide advice on how our service can assist you. Make an appointment with an Accessibility Consultant (AC) on +61 2 9514 1177 or Accessibility@uts.edu.au.

The Financial Assistance Service can assist you with financial aspects of life at university, including Centrelink information, tax returns and budgeting, interest-free student loans and grants to assist with course-related costs. Check eligibility and apply online and make an appointment on +61 2 9514 1177 or Financial.assistance@uts.edu.au.